基于建构主义理论的立体化平台在母乳喂养健康教育中的应用

目的探讨基于建构主义理论的立体化平台在初产妇母乳喂养健康教育中的应用效果。方法将76例初孕妇随机分为实验组(36例)和对照组(40例)。对照组给予常规母乳喂养健康教育;观察组在此基础上加以母乳喂养立体化平台干预,即按照建构主义原理将立体化平台教学内容设计为母乳喂养讲堂、哺乳知识问答、支架式母乳技能操作演示、抛锚式母乳喂养案例分析、随机进入式在线互动答疑五大模块,依托微信公众平台、雨课堂App和微信群推送健康教育内容及组织互动。比较两组孕产妇干预前后母乳喂养知识、自我效能、6个月纯母乳喂养率及婴儿6个月身高、体质量的增长情况。结果观察组干预后2个月、产后住院期间母乳喂养知识、自我效能及6个月纯母乳喂养率显著高于对照组(均P<0.01)。结论基于建构主义的母乳喂养立体化平台能有效提高孕产妇母乳喂养的知识,坚定母乳喂养信念,强化母乳喂养行为,促进母婴健康。

Application of constructivism learning theory-based,multiple net work platform-assisted breastfeeding education to primiparas

Objective To explore the effects of constructivism learning theory-based,multiple net work platform-assisted breastfeeding education to primiparas.Methods Seventy-six primiparas were randomized into an experimental group of 36 and a control group of 40.The control group was given traditional breastfeeding education,while the experimental group additionally received constructivism learning theory-based,multiple net work platform-assisted breastfeeding education,in which the teaching contents were designed based on the constructivism learning theory including such five modules as breastfeeding lecture,questions and answers regarding breastfeeding knowledge,′scaffolding′breastfeeding skills demonstration,′anchored′breastfeeding case analysis,and random access to online communication.The education was provided through WeChat platform,′rain class′App and WeChat group chatting and interaction was organized.Breastfeeding knowledge,self-efficacy,6-month exclusive breastfeeding rate and infants′height and weight at the 6 months were compared between the two groups.Results The experimental group had higher breastfeeding knowledge and self-efficacy after 2 months of intervention and during postpartum hospitalization,as well as higher 6-month exclusive breastfeeding rate compared with the control group(P<0.01 for all).Conclusion Implementing constructivism learning theory-based,multiple network platform-assisted breastfeeding education to primiparas can effectively enhance their breastfeeding knowledge and beliefs,strengthen their breastfeeding behavior,thus to promote mothers′and children′s health.